Organization
JOHN C. MACILWAINE, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN C. MACILWAINE M.D. (PHYSICIAN)
(843) 769-9450
Entity
Organization
Contact information
Practice address
125 DOUGHTY ST, SUITE 280, CHARLESTON, SC 29403-5736
(843) 769-9450
(843) 769-9451
Mailing address
125 DOUGHTY ST, SUITE 280, CHARLESTON, SC 29403-5736
(843) 769-9450
(843) 769-9451
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
29539
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
295399
—
SC
Enumeration date
03/01/2007
Last updated
08/19/2013
Update your record
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